Camille Olivia Pan Miller

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

127 W 127TH St
New York, NY 10027-3723

Phone

(212) 752-7575

NPI assigned

Feb 14, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1265065676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MALCOLM X BLVD APT 4F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212384",
            "telephone_number": "904-314-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W 127TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273723",
            "telephone_number": "212-752-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CAMILLE",
        "middle_name": "OLIVIA PAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "olivia.miller@nycit.org",
            "affiliation": "N",
            "endpointDescription": "Workplace email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "127 W 127th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100273723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Avery Elizabeth Miller, MS, CGC
• Barbara Ann Miller, LCSW
• Barie Miller, M.D.
• Bonnie Miller, LCSW
• Bradley Ress Miller, MD, PHD
• Carly Meredith Miller, PSY.D.
• Catherine Miller, AGACNP-BC
• Cecilia Miller, SOCIAL WORKER
• Chelsey Miller, PH.D.
• Christian Omega Miller, MD

• Contractor in New York, NY
• Providers in New York, NY by specialty
• Contractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.